Researchers from the Center for Health, Work & Environment (CHWE) at the Colorado School of Public Health have published a paper in the International Journal of Environmental Research and Public Health studying the effectiveness of applying Total Worker Health (TWH) in an international context. The study, led by a team at CHWE, is the first to examine how a TWH framework operates outside of a western context in Latin America workforces.
"Although recent reviews show that TWH intervention studies have had some global reach, the vast majority have been conducted in Western countries," says lead researcher Diana Jaramillo. "While global organizations, as well as governmental entities in Latin America, acknowledge the importance of this integrated approach to occupational health and safety, there are no studies exploring the implementation of the TWH approach in Latin America, to our knowledge." This region, which encompasses many low- and middle-income countries and diverse cultures, is in great need of TWH interventions to protect and promote the health of their workforce.
In the published manuscript, the researchers explored three novel concepts: the applicability of TWH theories in 1) a Latin American cultural setting; 2) a vertically integrated agribusiness; 3) within a multinational organization. The team took a community-based participatory research approach to adapt existing TWH tools and training. They convened stakeholders, interviewed health and safety champions and senior leaders, and identified TWH strategies that needed tweaking to meet the conditions of workers from very different backgrounds and with very different needs.
The case study documents the collaboration with Pantaleon, one of the largest agribusinesses in Latin America. CHWE partnered with the company in 2016 to engage in a series of projects to evaluate and address health and safety for the company's thousands of employees. One aspect was the process and adaptation strategy for conducting a TWH assessment at multiple organizational levels and in multiple countries including Guatemala, Nicaragua, and Mexico. The summary provides support for designing TWH interventions that can be adopted and implemented in global enterprise-level settings that span a diverse range of agriculture work functions from the corporate offices to the sugarcane fields.
"This case study represents a way to reach thousands of vulnerable workers in a large Latin American agribusiness and the opportunity to explore TWH research, translation and dissemination across different countries and cultures," adds Jaramillo. In the long term, they expect this approach to improve employee health, safety and well-being, and ultimately, productivity in meaningful and measurable ways.
About the Center for Health, Work and Environment
The Center for Health, Work and Environment (CHWE) at the Colorado School of Public Health is one of six Centers of Excellence for Total Worker Health® and houses the Mountain and Plains Education and Research Center, one of 18 centers of its kind supported by the National Institute for Occupational Safety and Health (NIOSH). Main offices for the Center are located at the University of Colorado Anschutz Medical Campus in Aurora, Colorado. The Center team works with faculty, students, and community partners on numerous projects in occupational and environmental health, safety, and well-being.
About the Colorado School of Public Health
The Colorado School of Public Health is the first and only accredited school of public health in the Rocky Mountain Region, attracting top tier faculty and students from across the country, and providing a vital contribution towards ensuring our region's health and well-being. Collaboratively formed in 2008 by the University of Colorado, Colorado State University, and the University of Northern Colorado, the Colorado School of Public Health provides training, innovative research and community service to actively address public health issues including chronic disease, access to health care, environmental threats, emerging infectious diseases, and costly injuries. Learn more and follow Colorado SPH's updates on Facebook, Twitter and Instagram.
International Journal of Environmental Research and Public Health